Neuroprotective effect of aldose reductase knockout in a mouse model of spinal cord injury involves NF-κB pathway

Fu-Xin Han1, Rui Zhang2, Xin-Xing Yang3

  • 1Department of Neurosurgery, Xi'an People's Hospital (Xi'an Fourth Hospital), Xi'an, 710004, P. R. China.

Insights

Aldose reductase (AR) deficiency improves recovery after spinal cord injury (SCI) by modulating macrophage function and reducing inflammation. This study reveals AR

Area of Science:

  • Neuroscience
  • Immunology
  • Biochemistry

Background:

  • Spinal cord injury (SCI) triggers inflammation involving microglia and macrophages.
  • Macrophage polarization (M1/M2) influences neural regeneration outcomes.
  • Aldose reductase (AR) is implicated in innate immunity, but its role in SCI is unclear.

Purpose of the Study:

  • To investigate the role of aldose reductase (AR) in the inflammatory response following spinal cord injury (SCI).
  • To elucidate the mechanisms by which AR influences macrophage function and neural recovery post-SCI.

Main Methods:

  • Spinal cord crush injury model in wild-type (WT) and AR-deficient (KO) mice.
  • In vitro studies using lipopolysaccharide (LPS)-induced macrophages to assess AR's effect on inducible nitric oxide synthase (iNOS) and autophagy.
  • Analysis of 4-hydroxy-2-(E)-nonenal (4-HNE) accumulation and its impact on NF-κB pathway activation.

Main Results:

  • AR KO mice exhibited improved locomotor recovery and reduced lesion size compared to WT mice after SCI.
  • AR deficiency suppressed LPS-induced iNOS expression in macrophages via autophagy activation.
  • AR deficiency led to 4-HNE accumulation; low 4-HNE promoted NF-κB activation, while high concentrations inhibited it.

Conclusions:

  • Aldose reductase plays a detrimental role in spinal cord injury recovery.
  • Autophagy mediates the effects of AR and 4-HNE in macrophages, influencing the inflammatory response.
  • Targeting AR may offer a therapeutic strategy for enhancing recovery after SCI.